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601 W Michigan St Orlando FL 32805-6203 | |
| (407) 317-7430 | |
| (407) 648-4150 |
| Full Name | |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 601 W Michigan St, Orlando, Florida |
| Authorized Official Name and Position | Lourdes E Quintana (DEPARTMENT MANAGER) |
| Authorized Official Contact | 4073177430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
601 W Michigan St Orlando FL 32805-6203 Ph: (407) 317-7430 | 601 W Michigan St Orlando FL 32805-6203 Ph: (407) 317-7430 |
| NPI Number | 1982777801 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982777801 | NPI | - | NPPES |
| 055040000 | Medicaid | FL |
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